08/06/2025
Is it broken or just fractured? 🦴
As an orthopedic surgeon, I get this question a lot. A patient (and in my case, most often with parents) will follow up with me in clinic after they’ve been to the ER or urgent care, had x-rays, and are in a splint. We start discussing the injury, and depending on the breeze, I might call their injury a “broken bone” or a “fracture.” I’m often met with responses like “Oh, thank goodness it’s just fractured and not broken,” or “So it’s broken? I thought it was just fractured,” or vice versa.
In order to set the record straight, a fracture is a broken bone, and a broken bone is a fracture. One is no less severe than the other. Fracture is just the fancy doctor word for a broken bone.
Other times when our orthopedic terminology gets confusing for patients is when it comes to “sprains” and “tears.” Ligaments are strong bands of tissue that connect one bone to another bone. Technically speaking, any injury to a ligament is called a sprain and involves some degree of tearing of the fibers in the ligament. So, why do we call some ligament injuries “tears” and others “sprains?” Honestly, your guess is as good as mine.
So the next time you hear “fracture,” “tear,” or “sprain,” know that while the terminology might vary, the treatment plan is what really matters. If you’re ever unsure, don’t hesitate to ask for clarity. We're here to help you understand your injury and what to expect during recovery.
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